Thank you for coming to HCM and visiting me at my virtual clinic here. I can assure you that despite your g.i. tests, you are having intestinal problems and are probably malabsorbing more than B12.
For now, keep up with the injections. If you can find a chewable
multivitamin, please take one. You need a multivitamin easily absorbed. If you were my client I would also put you on 1,000 I U of vitamind D as well unless a
blood test indicates you need an injection for repletion.
I believe you are sensitive to one or many foods. For your Dietitian consultation,if you decide to go, please bring a food/symptom diary, a list of medication/allergies, diagnosis, supplements, food likes and dislikes,
height and weight. A dietitian will do a personalized nutritional plan for you and work with your symptoms of gas,
bloating and stomach cramping.
As far as your panic attacks, this is something you would benefit from talking to a therapist about this. It is important to address your
depression. There are many methods to help you feel better from medications to nutrition to
talk therapy. Please make an appointment with your physician to discuss your depression and panic attacks. To answer your question about whether all these symptoms may be related an my opinion is yes, they may be.
Come back and see me anytime. Kathy Shattler, MS,RDN